Kenilworth Internists, P.a

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0050951 Issued in MD

Legal business name

KENILWORTH INTERNISTS, P.A

Practice address

6510 Kenilworth Ave
Suite 2400
Riverdale, MD 20737-1339

Phone

(301) 927-2711

Fax

(301) 277-4834

NPI assigned

May 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Reva Saini Gill, M.D.NPI 1184782369

Title

Owner

Phone

(301) 927-2711

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reva Gill, MD

  • Internal Medicine Physician
  • Riverdale, MD
  • NPI 1184782369

  DC

  Medicare reassignment NPD Authorized official
• Elizabeth Ruth Strey Christenson, PA-C

  • Physician Assistant
  • Rockville, MD
  • NPI 1578899399
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1467669218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 KENILWORTH AVE",
            "address_2": "SUITE 2400",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371339",
            "telephone_number": "301-927-2711",
            "fax_number": "301-277-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 KENILWORTH AVE",
            "address_2": "SUITE 2400",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371339",
            "telephone_number": "301-927-2711",
            "fax_number": "301-277-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENILWORTH INTERNISTS, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "REVA",
        "authorized_official_middle_name": "SAINI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-927-2711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0050951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mangal Katikineni, M.D.
• Felicia Ibijoke Kayode
• Roya Kazimy
• Judith Kengne Bakam
• Milaine Kenguim
• Ehsan Khademi, D.C.
• Khulon1
• Neola Kimbam
• Amie King
• Deanna M King, LCSW

• Internal Medicine Physician in Riverdale, MD
• Providers in Riverdale, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.